To add yourself to the ROTEX directory, fill in the form below. Please proofread your entry. Your entry will not appear in the directory until it has been validated by an administrator.
For the email address, I encourage you to use an email address that is unlikely to change, even if you change internet access providers. Bigfoot.com has free email accounts and can even automatically redirect your Bigfoot email to the email address of your choice. Fields marked with an * are required. I encourage you to fill out the non-required information also, especially the section about your exchange experiences and life since your exchange. First (and middle or maiden) name(s):*
Hint:
Fields marked with an * are required. Last (family) name: *
Street (mailing)
address: City:
State (and country
if outside USA): Zip (Postal) code:
Email address: *
( For example: haworth )
Chat ID (specifiy ICQ, AIM etc.)
( For example: ICQ 11078805 or AIM rotexdave )
Your homepage:
HTTP://
( For example: www.rotex-usa.org )
My youth exchange started in the year: *
My youth exchange ended in the year: *
I was an exchange student from: *
My home (sponsor) Rotary club was in district number:
( For example: 7640 )
Hint:
Rotary district numbers are 4 digits, like 7640. Prior to 1993, district numbers were 3 digits -- just add a zero (0) to the end. I spent my year abroad in: *
My host Rotary club was in district number:
( For example: 7640 )
The duration of my exchange was: *
a semester or year exchange
summer or holiday (short term) exchange
Please tell us about your exchange experience/highlights and what you have done since your exchange. Also please note if you would be willing to discuss your exchange with potential exchange students and/or Rotarians.
Note: the biography cannot exceed 1,000 characters (about 20 full lines)
characters in the biography (this only works with Internet Explorer)
Please enter a password: *
You will need this password to edit your entry. Re-enter your password: *
Enter a password hint. *
This will be provided to you if you forget your password. Only click the submit button once and then wait!
It can take as long as 45 seconds to process! © 1999-2000 David Haworth.
This website and directory are copyrighted and may not be used for any commercial or marketing purpose without the express permission of the author!
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